<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Yourname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-yourname" data-rule="required" class="form-control" name="row[yourname]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Youremail')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-youremail" data-rule="required" class="form-control" name="row[youremail]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Theme')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-theme" data-rule="required" class="form-control" name="row[theme]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Yourmessage')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-yourmessage" class="form-control" name="row[yourmessage]" type="text">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
